29D2121347 CLIA NUMBER - SIMONMED IMAGING INC-LAS VEGAS

Laboratory Demographics

  • CLIA Code: 29D2121347
  • Facility Name: SIMONMED IMAGING INC-LAS VEGAS
  • Facility Address: 3560 E FLAMINGO STE 100
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: (702) 433-6944
  • Facility Type: Other - OUTPATIENT MED IMAGING
  • Facility Type: Waiver
  • Lab Director: TRAVIS SNYDER
  • NPI Number: 1548807274
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D2121347
LAB Type Other - OUTPATIENT MED IMAGING
Facility Name SIMONMED IMAGING INC-LAS VEGAS
Street 3560 E FLAMINGO STE 100
City LAS VEGAS
State NV
ZIP 89121
Phone 7024336944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Other - OUTPATIENT MED IMAGING
Lab Director TRAVIS SNYDER

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This page was last updated on: 5/18/2026